Principal Investigator: ________________________

Date: ________________

Organization: _______________


Requestor: ________________________ Phone: ----------------

Fax: -----------------------

E-mail:_____________________  Service Code #:--------------------------------------









No. of Samples

Dye Combination

Expected Size Range of





DNA Fragments







  1. Fluorescent dye Combinations which can be used

(A)- VIC, FAM-6, NED, PET (B) - FAM-6, HEX, NED, ROX
(C)- HEX, FAM-6, NED, PET (D) - ROX, TET, NED, FAM-6

  1. Inquire before you use some other combinations of dyes in your multiplex samples

Use gel electrophoresis to check amplification prior to send the samples to the facility.

  1. Samples can also be accepted through HEC program “Access to Scientific Instrumentation".

Results can be received on the same day if delivered before 9.00 AM.

  1. Results will be provided in the form of soft copies.

You can use Peak Scanner Software from ABI to view the files. Go to the link for downloading the software.

It is certified that there is no biological hazardous material in the samples

Signature &
Office Seal

CAMB Use Only

Approval of Director General:

Invoice #:--------------------------


Date Rec’d: ----------------------

Rxn Date:-------------------

Size Std. Used:-----------------------

GA ID:---------------

Run Number:

------------------ Run Date:-----------------------


Results Delivery Date: -------------------------------


*For any query please contact at:  

Cell#: 0321-4423628